Jose A Sanchez, IDMT-PARAMEDIC

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

309 Pitsenbarger Blvd
Joint Base Lewis McChord, WA 98438-1201

Phone

(603) 381-1124

NPI assigned

Oct 24, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1861969271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4262 DUDLEY DR NE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985165604",
            "telephone_number": "360-338-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 PITSENBARGER BLVD",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984381201",
            "telephone_number": "603-381-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "JOSE",
        "middle_name": "A",
        "credential": "IDMT-PARAMEDIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-24",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": null,
            "license": "M5098459",
            "primary": false
        },
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Rumbarger, COTA/L
• Michael C Saenz, LPN
• Lori Ann Sage, RN, CCM
• Vashti Salomon
• Dana Sams, PHYSICIAN ASSISTANT
• Margaret E Sanchez, PSY.D.
• Jason Elliott Sapp, MD, MHPE
• Phanhmaly Sayasane, PH.D.
• Mary Cole Amber Sazo
• Adam John Schafer, PA-C

• Independent Duty Medical Technicians in Joint Base Lewis McChord, WA
• Providers in Joint Base Lewis McChord, WA by specialty
• Independent Duty Medical Technicians in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.